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In case of severe symptoms, doctors opt for synthetic erythropoietin injections a hormone produced by human kidneys to stimulate red blood cells and lower fatigue

If side effects are intolerable at any dose, the standard approach is to reduce back to the last tolerated dose and remain there for an additional four weeks before attempting escalation again

But those studies, McGuire says, dont have a lot of evidence behind them, and if you look on Reddit or other places where people are talking about it, he says, it appears that most people are recommending repeated doses

Patients should inform their healthcare provider if they experience any of these side effects